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Showing results for "risk".

9861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45329/psn-pdf
      April 24, 2018 - The impact of legal restrictions to limit high-risk prescribing and resultant adverse events is unclear … These results suggest that current regulatory policy may not be sufficient to address high-risk prescribing … More work is needed to develop effective strategies to treat chronic pain safely in this high-risk population … A WebM&M commentary described risks related to prescribing opioids for patients with chronic pain.

9862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42576/psn-pdf
      September 04, 2013 - Exploring Patient Engagement in Reducing Health-Care- Related Safety Risks. … nbsp; https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks … https://psnet.ahrq.gov/issue/exploring-patient-engagement-reducing-health-care-related-safety-risks https

9863. “This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event | PSNet
      psnet.ahrq.gov/web-mm/wrong-patients-blood-evaluating-near-miss-wrong-transfusion-event
      July 01, 2017 - Recognize the potential system areas of risk. … Still, in day-to-day counseling of patients regarding the risks of a red blood cell transfusion, most … Some even recognize the risks of transfusion reactions (allergic, febrile non-hemolytic, etc.) defined … Take-Home Points Risk of error in the blood delivery pathway is significantly higher than the risk of … Transfusion-related mortality: the ongoing risks of allogeneic blood transfusion and the available strategies

9864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42715/psn-pdf
      November 06, 2013 - Identifying Risks and Monitoring Safety: the Role of Patients and Citizens. … https://psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens This … https://psnet.ahrq.gov/issue/identifying-risks-and-monitoring-safety-role-patients-and-citizens https

9865. Add-on Case and the Missing Checklist | PSNet
      psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
      September 01, 2012 - achieve long-term benefits from treatment by accepting and managing the higher short-term procedural risks … of bleeding.( 2 ) Thus, absent the complicating factor of ongoing anticoagulant use, the short-term risks … To balance the immediate procedural bleeding risks with the longer term DVT risks, evidence suggests … This case illustrates how easily failures to discuss risks ad hoc can lead to catastrophic outcomes, … Take-Home Points The risks of deep vein thrombosis and postoperative bleeding must be appropriately

9866. Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development. | PSNet
      psnet.ahrq.gov/issue/healthcare-quality-and-safety-workforce-report-new-imperatives-quality-and-safety-mean-new
      May 06, 2015 - Copy Citation Related Resources From the Same Author(s) Reducing the Risks … May 24, 2015 Patient Safety Risk Management Playbook. … February 17, 2016 Risk Management Pearls for Medication Safety: Part I and Part II. … February 19, 2014 Risk Management Pearls on Disclosure of Adverse Events. … Improving Diagnostic Safety and Quality April 26, 2023 Safety Risk

9867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49769/psn-pdf
      September 01, 2016 - , the PRONE score could one day help to inform individual clinicians about their future complaints risk … Once a doctor is identified as being at risk (for example, because of multiple complaints), remediation … Patients and families will often identify patient safety risks that are not detected by other mechanisms … Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints … The PRONE score: an algorithm for predicting doctors' risks of formal patient complaints using routinely

9868. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet
      psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
      July 02, 2011 - The authors found that the largest aneurysms located in the posterior circulation had the greatest risk … These techniques significantly reduce the risk of operative complications. 17 Key to minimizing the … Risk factors for rebleeding of aneurysmal subarachnoid hemorrhage: a meta-analysis. … Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular … WebM&M Cases Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks

9869. Don't Use That Port: Insert a PICC | PSNet
      psnet.ahrq.gov/web-mm/dont-use-port-insert-picc
      December 22, 2018 - not to provide venous access for other purposes; he felt strongly that such use would increase the risk … prevention of intravascular catheter-related infections are relatively silent regarding ICVP access or risks … factors, it appears that the patient described in this case had substantial risk for DVT. … nurse did not have the necessary tools to engage the surgeon in a genuine discussion regarding the risks … Risk of symptomatic DVT associated with peripherally inserted central catheters.

9870. Carpe Diem (Seize the Day) | PSNet
      psnet.ahrq.gov/web-mm/carpe-diem-seize-day
      September 01, 2012 - states have laws and rules prohibiting licensing drivers with medical conditions that may pose safety risks … I separate my discussion with the patient into two broad categories: legal rules and driving risks for … This wide range reflects limited scientific data on the risks for driving with epilepsy. … of a crash, may actually reduce the cumulative risks by promoting better compliance with existing legal … Risk factors for seizure-related motor vehicle crashes in patients with epilepsy.

9871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49663/psn-pdf
      September 01, 2012 - There has been substantial focus on the risks associated with central venous catheters including catheter … peripheral intravenous (IV) catheters are much more common in modern hospitals and also have associated risks … We do know that longer (greater than 48 hours) catheter dwelling time is a risk factor for phlebitis. … An epidemiologic study of the risks associated with peripheral intravenous catheters. … Risk factors for infusion-related phlebitis with small peripheral venous catheters.

9872. Diuretics and Electrolyte Abnormalities | PSNet
      psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
      February 15, 2017 - Discuss risk factors that predispose to the development of thiazide-induced hyponatremia. … Describe precautionary measures that may reduce the risks associated with thiazide diuretics. … Specifically, the case highlights some of the risks associated with diuretics. … factors.( 2,4,5,8 ) The most common nonmodifiable risk factors include advanced age (due to declining … Electrolyte disorders in community subjects: prevalence and risk factors.

9873. Volume Too Low: In and Out | PSNet
      psnet.ahrq.gov/web-mm/volume-too-low-and-out
      July 01, 2017 - The Commentary   This infant's case highlights two of the major risks that hospitalized children … In addition, this case also reveals the specific risks of dehydration in patients with congenital heart … There are also specific risks related to medication. … The net effect of these risks, however summarized, is that for some aspects of medical care, children … A simple example can best illustrate this risk.

9874. Peripheral IV in Too Long | PSNet
      psnet.ahrq.gov/web-mm/peripheral-iv-too-long
      September 15, 2011 - There has been substantial focus on the risks associated with central venous catheters including catheter-related … peripheral intravenous (IV) catheters are much more common in modern hospitals and also have associated risks … An epidemiologic study of the risks associated with peripheral intravenous catheters. … July 22, 2020 Potentially inappropriate medications according to STOPP-J criteria and risks … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases

9875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49642/psn-pdf
      December 01, 2011 - Appreciate the risks of using mobile devices in health care settings. … Since the goal INR was 2.0–3.0, he was not adequately anticoagulated and was at risk for stroke from … ) as well as patient devices (e.g., pacemakers).(17) Although such reports are rare, the potential risk … these risks poses technology and policy challenges. … Association of interruptions with an increased risk and severity of medication administration errors

9876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49566/psn-pdf
      July 01, 2008 - In fact, such testing has dramatically reduced the risk of viral transmission. … Until recently, bacterial contamination has been underemphasized, in part because the risks of HIV and … are at lower risk for bacterial contamination than pooled units. … Current risks of transfusion-transmitted agents: a review. Arch Pathol Lab Med. 2007;131:702-707. … Current and emerging infectious risks of blood transfusions. JAMA. 2003;289:959-962.

9877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43452/psn-pdf
      August 20, 2014 - J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. … records (EHRs) have led to many improvements in care, they have also created novel patient safety risks … This Web-based survey assessed the perceptions of lawyers and health care risk management specialists … The perspective of risk managers and lawyers provides valuable insights into potential EHR-related safety

9878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49539/psn-pdf
      June 01, 2007 - not provide all the information a patient wants but recognizes that information concerning specific risk … Operator-specific risks could be quoted if they are available. … Consideration should be given to providing patient-specific risks, according to coexistent pathology … It is unusual to quote the risk of unilateral hearing loss after anesthesia during a consent discussion … Consent and anaesthetic risk. Anaesthesia. 2003;58:962-984. [go to PubMed] 6.

9879. A mislabeling event with batched drugs: the unintended consequences of practice changes. | PSNet
      psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
      May 07, 2014 - preparation processes can introduce opportunities for errors and suggests strategies to reduce such risks … Some IV medications are diluted unnecessarily in patient care areas, creating undue risk … 10, 2018 Inappropriate use of pharmacy bulk packages of IV contrast media increases risk … May 7, 2018 Epidural-IV route mix-ups: reducing the risk of deadly errors. … Some IV medications are diluted unnecessarily in patient care areas, creating undue risk

9880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44873/psn-pdf
      March 21, 2016 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report